Committed to providing safe, caring, and cost-effective world-wide air medical transport
Our Flight Coordinators
are available
24/7 - 365 Days a Year

Please Call
800-635-8583 or
to speak directly to a
Flight Coordinator
            SUBMIT with FORM

  1. Patient's name, Your name, and relationship to patient
  2. Best way to contact you
  3. Patient's location now.  Include City, State/Province, Country and
  4. Destination. Where the patient needs to go
  5. Include City, State/Province, Country, and hospital
  6. Desired date of departure and/or arrival
  7. Physician in charge of the patient now, with contact information, if
  8. Destination hospital and receiving physician, if known
  9. Best language with which to communicate with your hospital now
  10. Your medical insurance data, if known, and Passport information
    if applicable
  11. Whether it is desired that a spouse or designated support person  
    fly with the patient in the transport aircraft
Schedule A Flight
Please provide the following information
  • - -
  • Please Submit and a Flight Coordinator will Contact You shortly

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